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ACTIVITY # <br /> <br />PLEASE FILL OUT THE FOLLOWING INFORMATION AND YOU WILL BE DIRECTED TO THE NEXT <br />AVAILABLE BUILDING CODE TECHNICIAN. <br /> <br />APPLICATION SUBMITTAl <br /> <br />TYPE OF APPLICATION <br /> <br /> ~ ~ DWELLING LABEL <br /> I ~ MANUFACTURED DWELLING <br /> ~ I MANUFACTURED STORAOE <br /> ~ ~ PRE-FAB <br /> <br />NAME OF APPLICANT: <br /> <br />PROJECT ADDRESS: <br /> <br />WORK DESCRIPTION: <br /> <br />AG EXEMPT BUILDING ~ ~ ELECTRICAL <br />BUILDING DEMOLITION ~ I MINOR EL LABEL <br />SITE PLAN REVIEW ~ i PLUMBING <br />SITE EVALUATION I I MECHANICAL <br />SITE EVALUATION/SEPTIC ~ ~ DRIVEWAY <br /> <br />SEPTIC ~.~,~ ~ ' <br /> <br />I am performing the work on property I own or occupy, <br /> <br />I am a registered builder or the authorized representative of a registered builder. <br />State of Oregon Construction ContractoKs Board Registration # ~ ! ~ ~'/., <br />FAX# <br /> <br />I am the authorized representative of the property owner or contractor. <br /> <br />will be hiring a general contractor registered with the Construction Contractors Board. <br /> <br />This application may go through a simultaneous review process where zoning , septic (if applicable) and <br />construction requirements are checked prior to issuance of a permit. It is the responsibility of the applicant <br />to assure that all necessary information has been provided. <br /> <br />As soon as all requirements of the review have been met, you wi[[ be notified that your permit has been <br />issued and ready to be picked up. <br /> <br />.. umcE USE Em,: <br />MaP pAGE: ~ ~NE ~0~ ~:. -- T~ A~ ~ <br /> <br /> <br />